NPI | 1770824476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 884164) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R884164) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2024-03-13 |